| 응급의학과 입원결정권이 응급실 재실시간에 미치는 영향: 역사적 대조군을 이용한 전후 연구 |
| 최현수, 유승, 조용철, 정원준, 조성욱, 안홍준, 주기혁 |
| 충남대학교병원 응급의학과 |
| Effect of Hospitalization Decision by Emergency Physicians on Patient’s Emergency Department Length of Stay: Before and After Study using Historical Control |
| Hyun Soo Choi, Seung Ryu, Yong Chul Cho, Won Joon Jeong, Sung Uk Cho, Hong Joon Ahn, Ki Hyuk Joo |
| Department of Emergency Medicine, Chungnam National University Hospital, Daejeon, Korea |
| Correspondence |
Seung Ryu ,Tel: 042-280-8129, Fax: 042-280-8052, Email: rs0505@cnuh.co.kr,
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Received: June 15, 2017; Revised: June 15, 2017 Accepted: September 11, 2017. Published online: December 31, 2017. |
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| ABSTRACT |
Purpose:
This study analyzed the effects of the hospitalization decisions made by emergency physicians (EP) on the emergency department length of stay (ED-LOS).
Method:
From March 2016, the hospitalization decisions of six internal medicine departments were made by EP, which has been implemented gradually since 2015. Through a retrospective electronic record review, the ED-LOS between EP hospitalization decision departments (group A) and others (group B) was analyzed and the ED-LOS before and after the hospitalization decision method change was compared (2014 vs. 2016).
Results:
Compared to 2014, in 2016, the ED-LOS in departments that hospitalization decision made by EP was reduced significantly (median with interquartile range; 478.0 minutes [319.0 to 900.5 minutes] vs. 259.0 minutes [177.0 to 384.0 minutes]; p<0.001). In addition, the ED-LOS in Group A was reduced more than in Group B (219.0 minutes (45.8%) vs. 30.0 minutes (10.2%).
Conclusion:
ED-LOS can be reduced by the EP hospitalization decisions. |
| Key words:
Emergency service, Hospitals, Length of stay, Hospitalization |
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